Provider Demographics
NPI:1083442776
Name:BARNES, CARMEN L (ND)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:L
Last Name:BARNES
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 N LEE ST
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71602-4036
Mailing Address - Country:US
Mailing Address - Phone:870-671-0570
Mailing Address - Fax:
Practice Address - Street 1:1210 S CHERRY ST STE 26
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71601-5699
Practice Address - Country:US
Practice Address - Phone:501-313-0564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath